NPIMap

Organization Active NPI

Jerry Walker Therapy Services

  • Mental Health Counselor
  • Quincy, IL
National Provider Identifier
1922555325
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.005375 Issued in IL
Legal business name
JERRY WALKER THERAPY SERVICES
Practice address
195 S 36TH St
Suite 400
Quincy, IL 62301-5801
Phone
(217) 228-6194
Fax
(217) 209-0201
NPI assigned
Sep 2, 2016
Last updated
Sep 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gerald Walker, LCPCNPI 1447395918
Title
Therapist
Phone
(217) 228-6194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.005375 IL Primary

Addresses

Primary practice location

195 S 36TH St
Suite 400
Quincy, IL 62301-5801

Mailing address

195 S 36TH St
Suite 400
Quincy, IL 62301-5801
Phone (217) 228-6194

National Provider Directory

National Provider Directory
Tax ID family
Jerry Walker Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1922555325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S 36TH ST",
            "address_2": "SUITE 400",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623015801",
            "telephone_number": "217-228-6194",
            "fax_number": "217-209-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S 36TH ST",
            "address_2": "SUITE 400",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623015801",
            "telephone_number": "217-228-6194",
            "fax_number": "217-209-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY WALKER THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "217-228-6194",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.005375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.